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The research has been published in Microvascular Research .

Studies have shown that active cigarette smokers have up to 1.5 to 3.2 times increased risk of wound-related complications following a joint replacement surgery

When something (like allergies, smoke, or an infection) interferes with this process, it can lead to discomfort and pain

"We believe states and localities should defer to this process and allow Congress the opportunity to think through this issue further before enacting different minimum-age laws." Thomas Glynn, who reviewed the report for the Institute of Medicine, called the report a "monument to good science" and a "contribution to the health of every citizen in the U.S." Glynn, a consulting professor at the Stanford Prevention Research Center at Stanford University's School of Medicine, says he was initially skeptical of the idea of raising the legal age to buy tobacco to 21